Malaria and anaemia among children in two communities of Kumasi, Ghana: a cross-sectional survey
2006

Malaria and Anaemia in Children in Kumasi, Ghana

Sample size: 296 publication 10 minutes Evidence: high

Author Information

Author(s): Ronald Lisa A, Kenny Sarah L, Klinkenberg Eveline, Akoto Alex O, Boakye Isaac, Barnish Guy, Donnelly Martin J

Primary Institution: Liverpool School of Tropical Medicine

Hypothesis

Is there a consistent difference in malaria prevalence between two communities in Kumasi, Ghana, over time?

Conclusion

The study found that malaria prevalence and anaemia rates are significantly higher in Moshie Zongo compared to Manhyia, indicating the importance of malaria as a cause of anaemia in this urban population.

Supporting Evidence

  • Prevalences of P. falciparum, clinical malaria, anaemia, and stunting were significantly higher in Moshie Zongo compared to Manhyia.
  • Population attributable risks of anaemia were 16.5% due to P. falciparum and 7.6% due to malnutrition.
  • Risk factors for P. falciparum infection included older age, rural travel, and lower socioeconomic status.

Takeaway

In one part of Ghana, kids living in one neighborhood are much more likely to get malaria and be anaemic than kids in a nearby neighborhood.

Methodology

A cross-sectional house-to-house survey was conducted to assess malaria and anaemia prevalence among children.

Potential Biases

Potential recall bias regarding antimalarial use and overestimation of malaria prevalence due to the nature of the diagnostic tests used.

Limitations

The study may have limited power to assess differences in other factors due to sample size calculations focused on P. falciparum prevalence.

Participant Demographics

Children aged 1 to 9 years from two communities in Kumasi, Ghana.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 9.5–23.3 for P. falciparum attributable risk of anaemia

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1475-2875-5-105

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